December 2023 Price Concessions 2nd Update


Following discussions between Community Pharmacy England and the Department of Health and Social Care (DHSC) regarding medicine pricing issues reported by pharmacy owners, the Department has today (20/12/2023) announced the following list of price concessions for December 2023.

Community Pharmacy England has received a large number of reports of products not available at their Drug Tariff listed prices this month. We reviewed and submitted price concession applications as early as possible to try and reach agreement on these as early as possible. The below is the second set of agreed concessions but we are waiting to hear back from DHSC on many more lines.

Drug Pack size Price concession
Amiodarone 200mg tablets 28 £1.83
Azithromycin 250mg capsules 6 £1.73
Carbocisteine 250mg/5ml oral solution 300 £6.86
Chlorphenamine 2mg/5ml oral solution sugar free 150 £3.65
Cinacalcet 30mg tablets 28 £7.18
Clarithromycin 125mg/5ml oral suspension 70 £4.43
Co-codamol 30mg/500mg tablets 30 £1.32
Co-codamol 30mg/500mg tablets 100 £4.40
Colecalciferol 1,000unit capsules 30 £7.69
Dorzolamide 20mg/ml eye drops 5 £3.43
Doxazosin 4mg tablets 28 £0.91
Escitalopram 10mg tablets 28 £1.27
Etoricoxib 90mg tablets 28 £2.90
Fludrocortisone 100microgram tablets 30 £6.32
Haloperidol 5mg tablets 28 £4.62
Hydrocortisone 1% cream 15 £2.80
Hydrocortisone 1% cream 30 £3.35
Hydrocortisone 1% cream 50 £2.96
Ketoconazole 2% shampoo 120 £19.40
Lamotrigine 100mg tablets 56 £4.07
Lansoprazole 15mg gastro-resistant capsules 28 £0.93
Lansoprazole 15mg orodispersible tablets 28 £2.84
Memantine 10mg/ml oral solution sugar free 50 £45.03
Metformin 500mg/5ml oral solution sugar free 150 £27.90
Montelukast 10mg tablets 28 £2.68
Montelukast 5mg chewable tablets sugar free 28 £1.21
Morphine sulfate 10mg/5ml oral solution 300 £5.45
Oxycodone 5mg/5ml oral solution sugar free 250 £9.60
Piroxicam 0.5% gel 60 £2.12
Piroxicam 0.5% gel 112 £3.96
Pyridostigmine bromide 60mg tablets 200 £28.00
Rasagiline 1mg tablets 28 £20.23
Risperidone 1mg/ml oral solution sugar free 100 £3.16
Risperidone 2mg tablets 60 £2.03
Risperidone 4mg tablets 60 £2.39
Simvastatin 80mg tablets 28 £1.95
Sodium valproate 200mg/5ml oral solution sugar free 300 £10.21
Sulpiride 200mg tablets 30 £3.44
Sulpiride 200mg/5ml oral solution sugar free 150 £102.45
Timolol 0.5% eye drops 5 £1.89

For the full list of price concessions granted so far for December 2023, please visit our webpage:

No additional endorsements are required for price concessions. A price concession only applies for the month it is granted; any prices agreed for concessions requested late in the month will roll over into the following month.

We encourage pharmacies to report any problems obtaining a Part VIII product at or below the stated Drug Tariff price, using the online feedback form on the Community Pharmacy England website. Please include full details of the supplier and price paid for any products sourced above the Drug Tariff price. We will investigate the extent of the problem and, if appropriate, discuss the issue with DHSC.

Please  subscribe to our mailing list to receive email updates of any price concessions.

Further information on price  concessions and FAQs about the process  involved  can be found on our website ( To hear more on how the current price  concessions system operates, pharmacy teams can now access a recording of our recent Medicines Supply and Concessions Briefing webinar  here.

Improvements to the price concession system

Following significant concerns raised by pharmacies about the unsustainable level of prices imposed by  DHSC  in second half of 2022, it was agreed that an  urgent review of the price concession setting system would take place.

Since this announcement, we have sent a strong and clear message back to Government that pharmacies cannot continue to subsidise the NHS medicines bill. Following the review of the concessionary price process, a package of measures has been developed to improve the system.

One of the solutions agreed between us and DHSC is that from 1st April 2023, all products granted a concessionary price will be classified as ‘Discount Not Deducted’ for the month(s) in which they are on concession.

Furthermore, from May 2023, DHSC has implemented a process to roll over prices to the following month for any concessions requested after the 23rd of the month provided these prices were agreed with us. We are also continuing to work with DHSC on how a ‘retrospective increased payment’ may apply, where appropriate. Further information regarding this concession ‘top-up’ mechanism will be issued once details are finalised.